How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $501.19 | Professional | None | $346.74 | $501.19 | $501.19 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,380.38 | $1,513.56 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $24,547.09 | Facility | None | $1,479.11 | $2,089.30 | $24,547.09 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $812.83 Typical High $4,168.69 | Facility | None | $104.71 | $812.83 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $2,344.23 | Professional | None | $316.23 | $416.87 | $2,344.23 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $630.96 | Professional | None | $309.03 | $346.74 | $630.96 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $173.78 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $69.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $263.03 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $51.29 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $34.67 | $50.12 | $50.12 |
Where Arizona sits
The same service costs 6.3 times more in Texas than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 6th of 51
$741
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.